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Hangovers: Why you get them and how to fight them off – CNN

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More commonly known as a hangover, this unpleasant phenomenon has been dogging humanity since our ancestors first happened upon fermentation.
Those nasty vertigo-inducing, cold sweat-promoting and vomit-producing sensations after a raucous night out are all part of your body’s attempt to protect itself from injury after you overindulge in alcoholic beverages.
Your liver is working to break down the alcohol you consumed so your kidneys can clear it out ASAP. But in the process, your body’s inflammatory and metabolic reactions are going to lay you low with a hangover.
As long as people have suffered from hangovers, they’ve searched in vain for a cure. Revelers have access to a variety of compounds, products and devices that purport to ease the pain.
But there’s a lot of purporting and not a lot of proof. Most have not been backed up well by science in terms of usefulness for hangover treatment, and often their effects don’t seem like they’d match up with what scientists know about the biology of the hangover.

Working overtime to clear out the booze

Hangovers are virtually guaranteed when you drink too much. That amount varies from person to person based on genetic factors as well as whether there are other compounds that formed along with ethanol in the fermentation process.
Over the course of a night of heavy drinking, your blood alcohol level continues to rise. Your body labors to break down the alcohol — consumed as ethanol in beer, wine or spirits — forming damaging oxygen free radicals and acetaldehyde, itself a harmful compound. The longer ethanol and acetaldehyde stick around, the more damage they can do to your cellular membranes, proteins and DNA, so your body’s enzymes work quickly to metabolize acetaldehyde to a less toxic compound, acetate.
The morning after: What people around the world eat and drink to beat a hangover and where to order it
Over time, your ethanol levels drop through this natural metabolic process. Depending on how much you consumed, you’re likely to experience a hangover as the level of ethanol in your blood slowly returns to zero. Your body is withdrawing from high levels of circulating alcohol, while at the same time trying to protect itself from the effects of alcohol.
Scientists have limited knowledge of the leading causes of the hangover. But they do know that the body’s responses include changes in hormone levels to reduce dehydration and cellular stress. Alcohol consumption also affects a variety of neurotransmitter systems in the brain, including glutamate, dopamine and serotonin. Inflammation increases in the body’s tissues, and the healthy gut bacteria in your digestive system take a hit too, promoting leaky gut.
Altogether, the combination of all these reactions and protective mechanisms activated by your system gives rise to the experience of a hangover, which can last up to 48 hours.

Your misery likely has company

Drinking and socializing are cultural acts, and most hangovers do not happen in isolation. Human beings are social creatures, and there’s a high likelihood that at least one other individual feels the same as you the morning after the night before.
Each society has different rules regarding alcohol use, which can affect how people view alcohol consumption within those cultures. Drinking is often valued for its relaxing effect and for promoting sociability. So it’s common to see alcohol provided at celebratory events, social gatherings and holiday parties.
In the United States, drinking alcohol is largely embraced by mainstream culture, which may even promote behaviors involving excessive drinking. It should be no surprise that overindulgence goes hand in hand with these celebratory social events — and leads to hangover regrets a few hours later.
What to eat to beat a hangoverWhat to eat to beat a hangover
Your body’s reactions to high alcohol intake and the sobering-up period can influence mood, too. The combination of fatigue that you experience from sleep deprivation and hormonal stress reactions, in turn, affect your neurobiological responses and behavior. As your body is attempting to repair itself, you’re more likely to be easily irritated, exhausted and want nothing more than to be left alone. Of course, your work productivity takes a dramatic hit the day after an evening of heavy drinking.
When all is said and done, you’re the cause of your own hangover pain, and you’re the one who must pay for all the fun of the night before. But in short order, you’ll forget how excruciating your last hangover was. And you may very soon talk yourself into doing the things you swore you’d never do again.

Speeding up recovery

While pharmacologists like us understand a bit about how hangovers work, we still lack a true remedy.
Countless articles describe a variety of foods, caffeine, ion replenishment, energy drinks, herbal supplements including thyme and ginger, vitamins and the “hair of the dog” as ways to prevent and treat hangovers. But the evidence isn’t really there that any of these work effectively. They’re just not scientifically validated or well reproduced.
For example, Kudzu root (Pueraria lobata), a popular choice for hangover remedies, has primarily been investigated for its effects in reducing alcohol-mediated stress and hangover. But at the same time, Kudzu root appears to inhibit the enzymes that break down acetaldehyde — not good news since you want to clear that acetaldehyde from your system quickly.
Lyaness: How the world's best bar reinvented itselfLyaness: How the world's best bar reinvented itself
To fill this knowledge gap, our lab is working with colleagues to see if we can find scientific evidence for or against potential hangover remedies. We’ve focused on the benefits of dihydromyricetin, a Chinese herbal medicine that is currently available and formulated as a dietary supplement for hangover reduction or prevention.
Dihydromyricetin appears to work its magic by enhancing alcohol metabolism and reducing its toxic byproduct, acetaldehyde. From our findings in mice models, we are collecting data that support the usefulness of dihydromyricetin in increasing the expression and activity of enzymes responsible for ethanol and acetaldehyde metabolism in the liver, where ethanol is primarily broken down. These findings explain one of the several ways dihydromyricetin protects the body against alcohol stress and hangover symptoms.
We are also studying how this enhancement of alcohol metabolism results in changes in alcohol drinking behaviors. Previously, dihydromyricetin was found to counteract the relaxation affect of drinking alcohol by interfering with particular neuroreceptors in the brain; rodents didn’t become as intoxicated and consequently reduced their ethanol intake. Through this combination of mechanisms, we hope to illustrate how DHM might reduce the downsides of excessive drinking beyond the temporary hangover, and potentially reduce drinking behavior and damage associated with heavy alcohol consumption.
Of course, limiting alcohol intake and substituting water for many of those drinks during an evening out is probably the best method to avoid a painful hangover. However, for those times when one alcoholic beverage leads to more than a few more, be sure to stay hydrated and catch up on rest. Your best bet for a smoother recovery is probably some combination of nonsteroidal anti-inflammatory drug like ibuprofen, Netflix and a little downtime.
The Conversation

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A look at how provinces plan to emerge from COVID-19 shutdown – Preeceville Progress

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Provinces have been releasing plans for easing restrictions that were put in place to limit the spread of COVID-19.

Here is what some of the provinces have announced so far:

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Newfoundland and Labrador

Newfoundland and Labrador announced on May 29 that “bubbles” that had been limited to two households could invite six additional people into their circle.

Small gatherings for funerals, burials and weddings had already been allowed with a limit of 10 people following physical distancing rules. However, parties or other social gatherings are still banned.

Outdoor games of tennis have been allowed to resume, though players must bring their own equipment, and not share it.

Pet grooming services began operating May 25, with companies ordered to ensure their employees have personal protective equipment.

Municipal parks, golf courses and driving ranges can open and recreational hunting and fishing are permitted.

The province is in “alert level four” in its five-level reopening plan, allowing some businesses such as law firms and other professional services to reopen along with regulated child-care centres, with some restrictions.

At Level 3, private health clinics, such as optometrists and dentists, will be allowed to open, as well as medium-risk businesses such as clothing stores and hair salons. Overnight camping will also be permitted at level three, though there’s no word yet when that will happen.

At Level 2, some small gatherings will be allowed, and businesses with performance spaces and gyms are to reopen.

Level 1 would represent “the new normal.”

Nova Scotia

On May 29 Premier Stephen McNeil announced a new gathering limit of 10 people, doubling the limit of five that was imposed in late March.

Physical distancing of two metres is still required, except among members of the same household or family “bubble.” The limit is the same indoors and outdoors, with exceptions for outdoor weddings and funeral services which can have 15 people.

The gathering limit also applies to arts and culture activities such as theatre performances and dance recitals, faith gatherings, and sports and physical activity. Businesses such as theatres, concerts, festivals and sporting activities also must adhere to the 10-person limit.

Private campgrounds can reopen, but only at 50 per cent capacity and they must ensure public health protocols are followed, including adequate distancing between campsites.

Provincial campgrounds are scheduled to open June 15 at reduced capacity to ensure a minimum of six metres between individual sites.

Most businesses ordered shut in late March will be allowed to reopen June 5, if they have a plan that follows physical distancing protocols. The list of businesses includes bars and restaurant dining rooms, hair salons, barber shops, gyms and yoga studios, among others.

Some health providers will also be able to reopen, including dentistry, optometry, chiropractic and physiotherapy offices. Veterinary services will be allowed to operate along with some unregulated professions, such as massage therapy, podiatry and naturopathy.

McNeil earlier announced there would be no return to school this year, and a decision on reopening daycares would be made by June 8.

Trails and provincial and municipal parks can now reopen along with garden centres, nurseries and similar businesses, but playground equipment is still off limits.

Public beaches have reopened along with outdoor activities like archery, horseback riding, golf, paddling, boating and tennis, with the proviso that social distancing and hygiene be maintained. Sportfishing is permitted and people can attend boating, yacht or sailing clubs for the purpose of preparing boats for use.

Drive-in religious services are now allowed, if people stay in their cars, park two metres apart and there are no interactions between people.

Prince Edward Island

Prince Edward Island has extended its public health emergency until June 14.

Premier Dennis King says people wanting to travel to seasonal residences must apply beginning June 1, and those will be put through a risk assessment before approval. Seasonal residents will also be tested for COVID-19 before completing the two weeks they must spend in self-isolation after arriving in the province.

The province moved into the third phase of its reopening plan June 1, which allows such things as in-house dining at restaurants, small groups to participate in recreational and some sporting activities and libraries to reopen. Phase three also allows gatherings of up to 15 people indoors and 20 people outdoors and the reopening of child-care centres.

As well, family and friends can visit residents at long-term care homes. The visits require an appointment and must take place outdoors.

Under phase 2, non-contact outdoor recreational activities were permitted, and retail businesses could reopen with physical distancing measures in place.

Priority non-urgent surgeries and select health-service providers, including physiotherapists, optometrists and chiropractors, resumed on May 1.

The P.E.I legislature resumed May 26.

New Brunswick

New Brunswick moved to the “yellow phase” of its COVID-19 recovery plan on May 22, allowing barbers and hair stylists to reopen as well as churches and fitness facilities. Dental care, massage, chiropractors and other “close contact” businesses and services could also reopen.

But the Campbellton region, which extends from Whites Brook to the Belledune, had to take a step backwards to the “orange” level on May 27. Residents were told to once again avoid contacts outside their two-household bubble. Non-regulated health professionals and personal service businesses that opened May 22 also had to close again. And people should only be travelling in and out of Zone 5 for essential reasons.

Restrictions in the yellow phase of the province’s recovery plan will be lifted beginning June 5. The activities include outdoor gatherings of up to 50 people, indoor religious services of up to 50 people, low-contact team sports and the opening of a long list of facilities including swimming pools, gyms, rinks, water parks, and yoga and dance studios.

Licensed daycares started reopening May 19. Children don’t have to wear masks or maintain physical distancing but are being kept in small groups.

Anyone who has travelled outside of New Brunswick will not be allowed to visit early learning and child-care facilities for 14 days.

Retail businesses, offices, restaurants, libraries, museums and seasonal campgrounds were earlier allowed to reopen providing they have clear plans for meeting public health guidelines. The resumption of elective surgeries was also part phase two of the province’s reopening plan.

Phase one, which started on April 24, allowed limited play on golf courses as well as fishing and hunting. Post-secondary students could return if it was deemed safe by the school, and outdoor church services were again permitted, providing people remain in their vehicles and are two metres apart.

The final phase, which will probably come only after a vaccine is available, will include large gatherings.

Quebec

Quebec began allowing outdoor gatherings with a maximum of 10 people from three families with social distancing in place on May 22.

On May 25 some retail businesses reopened in the greater Montreal area. Quebec reopened retail stores outside Montreal on May 11.

Parks and pools can reopen across the province but are still be subject to physical distancing and other health measures

Day camps across the province will be allowed to open as of June 22, with physical distancing and other COVID-19 health measures in effect. That means smaller groups of children and frequent handwashing. Sleep-away summer camps won’t be allowed to reopen until next year.

Lottery terminals are also reopening after being shut down on March 20 with sales moving to online only.

Quebec’s construction and manufacturing industries have resumed operations with limits on the number of employees who can work per shift. Elementary schools and daycares outside Montreal reopened on May 11, but high schools, junior colleges and universities will stay closed until September.

Elementary schools in the greater Montreal area will remain closed until late August.

Courthouses across the province were permitted to reopen starting June 1, with limited seating capacity and Plexiglas barriers protecting clerks and judges.

Camping is now allowed outside the Montreal and Joliette regions, as are cottage rentals.

Shopping malls, nail salons and other personal care centres are also reopening, but only outside Montreal.

Hairdressers, nail salons and other personal care businesses will be able to open in the Montreal area on June 15.

Meanwhile, checkpoints set up to slow the spread of COVID-19 came down on May 18 in various parts of Quebec, including between Gatineau and Ottawa.

Ontario

Ontario began its first stage of reopening May 19 including lifting restrictions on retail stores and surgeries.

The province says workplaces can begin to reopen but working from home should continue as much as possible.

The Royal College of Dental Surgeons of Ontario says the profession is currently in Stage 2 of its three-phase reopening plan. Dentists had previously only been allowed to practice emergency or urgent care on patients in-person but can now offer other essential services with enhanced precautions.

All construction can resume, with limits also lifted on maintenance, repair and property management services, such as cleaning, painting and pool maintenance.

Most retail stores with a street entrance can reopen with physical distancing restrictions, and curbside pickup and delivery.

Golf courses can reopen though clubhouses can only open for washrooms and take-out food. Marinas, boat clubs and public boat launches can also open, as can private parks and campgrounds for trailers and RVs whose owners have a full season contract, and businesses that board animals.

Other businesses and services included in the stage one reopening include regular veterinary appointments, pet grooming, pet sitting and pet training; libraries for pickup or deliveries; and housekeepers and babysitters.

Drive-in movie theatres and batting cages reopened May 31 with physical distancing measures in effect.

Backcountry campers returned to provincial parks June 1 with certain stipulations. No more than five people can occupy a single campsite, unless they live in the same household. Provincial parks will also expand permission for picnics and off-leash pet areas.

Premier Doug Ford earlier announced that Ontario schools would remain closed for the rest of the school year.

Meanwhile, this summer’s Honda Indy Toronto has been cancelled.

Manitoba

The Manitoba government has lifted its one-month limit on people’s prescription drug supplies, allowing people to again get prescriptions filled or refilled for 90 days.

Its health offices, including dentists, chiropractors and physiotherapists can also reopen. Retail businesses can reopen at half occupancy providing they ensure physical spacing.

Museums and libraries can reopen, but with occupancy limited to 50 per cent.

Playgrounds, golf courses and tennis courts have reopened as well, along with parks and campgrounds.

On May 22 the province began allowing groups of up to 25 people indoors and 50 people outdoors.

On June 1, the province eased a ban on people visiting loved ones in personal care homes.

Homes can now offer outdoor visits with a maximum of two guests per resident. Visitors will be screened upon arrival and must practice physical distancing.

Community centres and seniors’ clubs are also getting the go-ahead with limits on customer capacity and rules for physical distancing.

Bars, tattoo parlours, dine-in restaurants, fitness clubs and pools could reopen June 1 under limited capacity.

Elementary and high schools stopped in-class instruction in March and will not reopen this school year. But they were allowed, as of June 1, to offer tutoring or student assessments in small groups. Some extracurricular sports and other activities can restart.

At universities and colleges, some specific instruction such as labs and arts studios will be able to resume for up to 25 students and staff at a time.

Amateur sports and recreation programs, as well as bowling alleys, are on the list to resume operations.

A ban on non-essential travel to the province’s north was also eased starting June 1. Southern residents can now travel directly to cottages, campgrounds and parks, but are being told to avoid visiting northern communities.

Film productions can also resume, as well outdoor religious services with no crowd limits providing people stay in their vehicles.

Movie theatres and casinos must remain closed. Concerts, professional sporting events and other large public gatherings won’t be considered until at least September.

Manitoba has extended a province-wide state of emergency until mid-June, to help prevent the spread of COVID-19.

Saskatchewan

The Saskatchewan government’s five-phase plan to reopen its economy started May 11 with dentists, optometrists and other health professionals allowed to resume services. Phase 1 also includes reopened golf courses and campgrounds.

Under phases 2 and 3 the province says restaurants, gyms and nail salons can start reopening on June 8. Restaurants will be allowed to operate at half capacity and restrictions will also lift on some personal care services, childcare centres and places of worship. The government also plans to increase its 10-person gathering limit to 15 people indoors and to 30 for those outdoors.

Phase 4 could see arenas, swimming pools and playgrounds opening, while in Phase 5, the province would consider lifting restrictions on the size of public gatherings.

Alberta

Alberta has completed the first phase of its economic relaunch. Retail shops, restaurants, day cares, barber shops, hair salons, farmers markets and places of worship have reopened with some conditions.

Outdoor gatherings are currently limited to 50 people, and indoor gatherings to 15.

The next phase is scheduled to begin June 19 with the reopening of stage and movie theatres, spas and services like manicures, pedicures and massages.

Alberta allowed some scheduled, non-urgent surgeries to start on May 11.

Service provided by dentists, physiotherapists and other medical professionals are also permitted. Golf courses reopened May 2, though pro shops and clubhouses remain shuttered.

British Columbia

The provincial government allowed a partial reopening of the B.C. economy starting May 19.

The reopening plans are contingent on organizations and businesses having plans that follow provincial guidelines to control the spread of COVID-19. Hotels, resorts and parks will follow in June.

Parents in B.C. were given the choice of allowing their children to return to class on a part-time basis starting June 1. The government says its goal is for the return of full-time classes in September, if it’s safe.

Under the part-time plan, for kindergarten to Grade 5, most students will go to school half time, while grades 6 to 12 will go about one day a week. A mix of online and classroom post-secondary education is planned for September.

Conventions, large concerts, international tourism and professional sports with a live audience will not be allowed to resume until either a vaccine is widely available, community immunity has been reached, or effective treatment can be provided for the disease.

Northwest Territories

The Northwest Territories announced on May 12 a three-phase reopening plan, but the government didn’t say when it would be implemented.

The plan includes more gatherings and the possible reopening of some schools and businesses. However, the territory’s borders remain closed indefinitely to non-residents and non-essential workers.

There are several requirements that must be met before any measures are relaxed: there must be no evidence of community spread; travel entry points in the territory are strong and secure; risks are reduced from workers coming into the territory; and expanded community testing is available.

Yukon

Travel restrictions will be lifted between Yukon and B.C. after July 1 under the second phase of the territory’s pandemic restart plan.

After that date, travellers between the province and territory will no longer be required to self-isolate for 14 days.

The territory says monitoring the status of neighbouring jurisdictions will determine if it’s safe to further lift restrictions.

Yukon has been gradually easing pandemic restrictions since May 15 with dine-in restaurants, day cares and recreational centres reopening.

Territorial parks and campgrounds will open for the summer next week.

Two households of up to 10 people in total are currently able to interact with each other as part of a “household bubble.”

The territory’s reopening plan outlines five phases including a period after a vaccine is available.

This report by The Canadian Press was first published June 3, 2020

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A look at how provinces plan to emerge from COVID-19 shutdown – News Talk 650 CKOM

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Provinces have been releasing plans for easing restrictions that were put in place to limit the spread of COVID-19.

Here is what some of the provinces have announced so far:

Newfoundland and Labrador

Newfoundland and Labrador announced on May 29 that “bubbles” that had been limited to two households could invite six additional people into their circle.

Small gatherings for funerals, burials and weddings had already been allowed with a limit of 10 people following physical distancing rules. However, parties or other social gatherings are still banned.

Outdoor games of tennis have been allowed to resume, though players must bring their own equipment, and not share it.

Pet grooming services began operating May 25, with companies ordered to ensure their employees have personal protective equipment.

Municipal parks, golf courses and driving ranges can open and recreational hunting and fishing are permitted.

The province is in “alert level four” in its five-level reopening plan, allowing some businesses such as law firms and other professional services to reopen along with regulated child-care centres, with some restrictions.

At Level 3, private health clinics, such as optometrists and dentists, will be allowed to open, as well as medium-risk businesses such as clothing stores and hair salons. Overnight camping will also be permitted at level three, though there’s no word yet when that will happen.

At Level 2, some small gatherings will be allowed, and businesses with performance spaces and gyms are to reopen.

Level 1 would represent “the new normal.”

Nova Scotia

On May 29 Premier Stephen McNeil announced a new gathering limit of 10 people, doubling the limit of five that was imposed in late March.

Physical distancing of two metres is still required, except among members of the same household or family “bubble.” The limit is the same indoors and outdoors, with exceptions for outdoor weddings and funeral services which can have 15 people.

The gathering limit also applies to arts and culture activities such as theatre performances and dance recitals, faith gatherings, and sports and physical activity. Businesses such as theatres, concerts, festivals and sporting activities also must adhere to the 10-person limit.

Private campgrounds can reopen, but only at 50 per cent capacity and they must ensure public health protocols are followed, including adequate distancing between campsites.

Provincial campgrounds are scheduled to open June 15 at reduced capacity to ensure a minimum of six metres between individual sites.

Most businesses ordered shut in late March will be allowed to reopen June 5, if they have a plan that follows physical distancing protocols. The list of businesses includes bars and restaurant dining rooms, hair salons, barber shops, gyms and yoga studios, among others.

Some health providers will also be able to reopen, including dentistry, optometry, chiropractic and physiotherapy offices. Veterinary services will be allowed to operate along with some unregulated professions, such as massage therapy, podiatry and naturopathy.

McNeil earlier announced there would be no return to school this year, and a decision on reopening daycares would be made by June 8.

Trails and provincial and municipal parks can now reopen along with garden centres, nurseries and similar businesses, but playground equipment is still off limits.

Public beaches have reopened along with outdoor activities like archery, horseback riding, golf, paddling, boating and tennis, with the proviso that social distancing and hygiene be maintained. Sportfishing is permitted and people can attend boating, yacht or sailing clubs for the purpose of preparing boats for use.

Drive-in religious services are now allowed, if people stay in their cars, park two metres apart and there are no interactions between people.

Prince Edward Island

Prince Edward Island has extended its public health emergency until June 14.

Premier Dennis King says people wanting to travel to seasonal residences must apply beginning June 1, and those will be put through a risk assessment before approval. Seasonal residents will also be tested for COVID-19 before completing the two weeks they must spend in self-isolation after arriving in the province.

The province moved into the third phase of its reopening plan June 1, which allows such things as in-house dining at restaurants, small groups to participate in recreational and some sporting activities and libraries to reopen. Phase three also allows gatherings of up to 15 people indoors and 20 people outdoors and the reopening of child-care centres.

As well, family and friends can visit residents at long-term care homes. The visits require an appointment and must take place outdoors.

Under phase 2, non-contact outdoor recreational activities were permitted, and retail businesses could reopen with physical distancing measures in place.

Priority non-urgent surgeries and select health-service providers, including physiotherapists, optometrists and chiropractors, resumed on May 1.

The P.E.I legislature resumed May 26.

New Brunswick

New Brunswick moved to the “yellow phase” of its COVID-19 recovery plan on May 22, allowing barbers and hair stylists to reopen as well as churches and fitness facilities. Dental care, massage, chiropractors and other “close contact” businesses and services could also reopen.

But the Campbellton region, which extends from Whites Brook to the Belledune, had to take a step backwards to the “orange” level on May 27. Residents were told to once again avoid contacts outside their two-household bubble. Non-regulated health professionals and personal service businesses that opened May 22 also had to close again. And people should only be travelling in and out of Zone 5 for essential reasons.

Restrictions in the yellow phase of the province’s recovery plan will be lifted beginning June 5. The activities include outdoor gatherings of up to 50 people, indoor religious services of up to 50 people, low-contact team sports and the opening of a long list of facilities including swimming pools, gyms, rinks, water parks, and yoga and dance studios.

Licensed daycares started reopening May 19. Children don’t have to wear masks or maintain physical distancing but are being kept in small groups.

Anyone who has travelled outside of New Brunswick will not be allowed to visit early learning and child-care facilities for 14 days.

Retail businesses, offices, restaurants, libraries, museums and seasonal campgrounds were earlier allowed to reopen providing they have clear plans for meeting public health guidelines. The resumption of elective surgeries was also part phase two of the province’s reopening plan.

Phase one, which started on April 24, allowed limited play on golf courses as well as fishing and hunting. Post-secondary students could return if it was deemed safe by the school, and outdoor church services were again permitted, providing people remain in their vehicles and are two metres apart.

The final phase, which will probably come only after a vaccine is available, will include large gatherings.

Quebec

Quebec began allowing outdoor gatherings with a maximum of 10 people from three families with social distancing in place on May 22.

On May 25 some retail businesses reopened in the greater Montreal area. Quebec reopened retail stores outside Montreal on May 11.

Parks and pools can reopen across the province but are still be subject to physical distancing and other health measures

Day camps across the province will be allowed to open as of June 22, with physical distancing and other COVID-19 health measures in effect. That means smaller groups of children and frequent handwashing. Sleep-away summer camps won’t be allowed to reopen until next year.

Lottery terminals are also reopening after being shut down on March 20 with sales moving to online only.

Quebec’s construction and manufacturing industries have resumed operations with limits on the number of employees who can work per shift. Elementary schools and daycares outside Montreal reopened on May 11, but high schools, junior colleges and universities will stay closed until September.

Elementary schools in the greater Montreal area will remain closed until late August.

Courthouses across the province were permitted to reopen starting June 1, with limited seating capacity and Plexiglas barriers protecting clerks and judges.

Camping is now allowed outside the Montreal and Joliette regions, as are cottage rentals.

Shopping malls, nail salons and other personal care centres are also reopening, but only outside Montreal.

Hairdressers, nail salons and other personal care businesses will be able to open in the Montreal area on June 15.

Meanwhile, checkpoints set up to slow the spread of COVID-19 came down on May 18 in various parts of Quebec, including between Gatineau and Ottawa.

Ontario

Ontario began its first stage of reopening May 19 including lifting restrictions on retail stores and surgeries.

The province says workplaces can begin to reopen but working from home should continue as much as possible.

The Royal College of Dental Surgeons of Ontario says the profession is currently in Stage 2 of its three-phase reopening plan. Dentists had previously only been allowed to practice emergency or urgent care on patients in-person but can now offer other essential services with enhanced precautions.

All construction can resume, with limits also lifted on maintenance, repair and property management services, such as cleaning, painting and pool maintenance.

Most retail stores with a street entrance can reopen with physical distancing restrictions, and curbside pickup and delivery.

Golf courses can reopen though clubhouses can only open for washrooms and take-out food. Marinas, boat clubs and public boat launches can also open, as can private parks and campgrounds for trailers and RVs whose owners have a full season contract, and businesses that board animals.

Other businesses and services included in the stage one reopening include regular veterinary appointments, pet grooming, pet sitting and pet training; libraries for pickup or deliveries; and housekeepers and babysitters.

Drive-in movie theatres and batting cages reopened May 31 with physical distancing measures in effect.

Backcountry campers returned to provincial parks June 1 with certain stipulations. No more than five people can occupy a single campsite, unless they live in the same household. Provincial parks will also expand permission for picnics and off-leash pet areas.

Premier Doug Ford earlier announced that Ontario schools would remain closed for the rest of the school year.

Meanwhile, this summer’s Honda Indy Toronto has been cancelled.

Manitoba

The Manitoba government has lifted its one-month limit on people’s prescription drug supplies, allowing people to again get prescriptions filled or refilled for 90 days.

Its health offices, including dentists, chiropractors and physiotherapists can also reopen. Retail businesses can reopen at half occupancy providing they ensure physical spacing.

Museums and libraries can reopen, but with occupancy limited to 50 per cent.

Playgrounds, golf courses and tennis courts have reopened as well, along with parks and campgrounds.

On May 22 the province began allowing groups of up to 25 people indoors and 50 people outdoors.

On June 1, the province eased a ban on people visiting loved ones in personal care homes.

Homes can now offer outdoor visits with a maximum of two guests per resident. Visitors will be screened upon arrival and must practice physical distancing.

Community centres and seniors’ clubs are also getting the go-ahead with limits on customer capacity and rules for physical distancing.

Bars, tattoo parlours, dine-in restaurants, fitness clubs and pools could reopen June 1 under limited capacity.

Elementary and high schools stopped in-class instruction in March and will not reopen this school year. But they were allowed, as of June 1, to offer tutoring or student assessments in small groups. Some extracurricular sports and other activities can restart.

At universities and colleges, some specific instruction such as labs and arts studios will be able to resume for up to 25 students and staff at a time.

Amateur sports and recreation programs, as well as bowling alleys, are on the list to resume operations.

A ban on non-essential travel to the province’s north was also eased starting June 1. Southern residents can now travel directly to cottages, campgrounds and parks, but are being told to avoid visiting northern communities.

Film productions can also resume, as well outdoor religious services with no crowd limits providing people stay in their vehicles.

Movie theatres and casinos must remain closed. Concerts, professional sporting events and other large public gatherings won’t be considered until at least September.

Manitoba has extended a province-wide state of emergency until mid-June, to help prevent the spread of COVID-19.

Saskatchewan

The Saskatchewan government’s five-phase plan to reopen its economy started May 11 with dentists, optometrists and other health professionals allowed to resume services. Phase 1 also includes reopened golf courses and campgrounds.

Under phases 2 and 3 the province says restaurants, gyms and nail salons can start reopening on June 8. Restaurants will be allowed to operate at half capacity and restrictions will also lift on some personal care services, childcare centres and places of worship. The government also plans to increase its 10-person gathering limit to 15 people indoors and to 30 for those outdoors.

Phase 4 could see arenas, swimming pools and playgrounds opening, while in Phase 5, the province would consider lifting restrictions on the size of public gatherings.

Alberta

Alberta has completed the first phase of its economic relaunch. Retail shops, restaurants, day cares, barber shops, hair salons, farmers markets and places of worship have reopened with some conditions.

Outdoor gatherings are currently limited to 50 people, and indoor gatherings to 15.

The next phase is scheduled to begin June 19 with the reopening of stage and movie theatres, spas and services like manicures, pedicures and massages.

Alberta allowed some scheduled, non-urgent surgeries to start on May 11.

Service provided by dentists, physiotherapists and other medical professionals are also permitted. Golf courses reopened May 2, though pro shops and clubhouses remain shuttered.

British Columbia

The provincial government allowed a partial reopening of the B.C. economy starting May 19.

The reopening plans are contingent on organizations and businesses having plans that follow provincial guidelines to control the spread of COVID-19. Hotels, resorts and parks will follow in June.

Parents in B.C. were given the choice of allowing their children to return to class on a part-time basis starting June 1. The government says its goal is for the return of full-time classes in September, if it’s safe.

Under the part-time plan, for kindergarten to Grade 5, most students will go to school half time, while grades 6 to 12 will go about one day a week. A mix of online and classroom post-secondary education is planned for September.

Conventions, large concerts, international tourism and professional sports with a live audience will not be allowed to resume until either a vaccine is widely available, community immunity has been reached, or effective treatment can be provided for the disease.

Northwest Territories

The Northwest Territories announced on May 12 a three-phase reopening plan, but the government didn’t say when it would be implemented.

The plan includes more gatherings and the possible reopening of some schools and businesses. However, the territory’s borders remain closed indefinitely to non-residents and non-essential workers.

There are several requirements that must be met before any measures are relaxed: there must be no evidence of community spread; travel entry points in the territory are strong and secure; risks are reduced from workers coming into the territory; and expanded community testing is available.

Yukon

Travel restrictions will be lifted between Yukon and B.C. after July 1 under the second phase of the territory’s pandemic restart plan.

After that date, travellers between the province and territory will no longer be required to self-isolate for 14 days.

The territory says monitoring the status of neighbouring jurisdictions will determine if it’s safe to further lift restrictions.

Yukon has been gradually easing pandemic restrictions since May 15 with dine-in restaurants, day cares and recreational centres reopening.

Territorial parks and campgrounds will open for the summer next week.

Two households of up to 10 people in total are currently able to interact with each other as part of a “household bubble.”

The territory’s reopening plan outlines five phases including a period after a vaccine is available.

This report by The Canadian Press was first published June 3, 2020

The Canadian Press

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A look at how provinces plan to emerge from COVID-19 shutdown – Nanaimo News NOW

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Small gatherings for funerals, burials and weddings had already been allowed with a limit of 10 people following physical distancing rules. However, parties or other social gatherings are still banned.

Outdoor games of tennis have been allowed to resume, though players must bring their own equipment, and not share it.

Pet grooming services began operating May 25, with companies ordered to ensure their employees have personal protective equipment.

Municipal parks, golf courses and driving ranges can open and recreational hunting and fishing are permitted.

The province is in “alert level four” in its five-level reopening plan, allowing some businesses such as law firms and other professional services to reopen along with regulated child-care centres, with some restrictions.

At Level 3, private health clinics, such as optometrists and dentists, will be allowed to open, as well as medium-risk businesses such as clothing stores and hair salons. Overnight camping will also be permitted at level three, though there’s no word yet when that will happen.

At Level 2, some small gatherings will be allowed, and businesses with performance spaces and gyms are to reopen.

Level 1 would represent “the new normal.”

Nova Scotia

On May 29 Premier Stephen McNeil announced a new gathering limit of 10 people, doubling the limit of five that was imposed in late March.

Physical distancing of two metres is still required, except among members of the same household or family “bubble.” The limit is the same indoors and outdoors, with exceptions for outdoor weddings and funeral services which can have 15 people.

The gathering limit also applies to arts and culture activities such as theatre performances and dance recitals, faith gatherings, and sports and physical activity. Businesses such as theatres, concerts, festivals and sporting activities also must adhere to the 10-person limit.

Private campgrounds can reopen, but only at 50 per cent capacity and they must ensure public health protocols are followed, including adequate distancing between campsites.

Provincial campgrounds are scheduled to open June 15 at reduced capacity to ensure a minimum of six metres between individual sites.

Most businesses ordered shut in late March will be allowed to reopen June 5, if they have a plan that follows physical distancing protocols. The list of businesses includes bars and restaurant dining rooms, hair salons, barber shops, gyms and yoga studios, among others.

Some health providers will also be able to reopen, including dentistry, optometry, chiropractic and physiotherapy offices. Veterinary services will be allowed to operate along with some unregulated professions, such as massage therapy, podiatry and naturopathy.

McNeil earlier announced there would be no return to school this year, and a decision on reopening daycares would be made by June 8.

Trails and provincial and municipal parks can now reopen along with garden centres, nurseries and similar businesses, but playground equipment is still off limits.

Public beaches have reopened along with outdoor activities like archery, horseback riding, golf, paddling, boating and tennis, with the proviso that social distancing and hygiene be maintained. Sportfishing is permitted and people can attend boating, yacht or sailing clubs for the purpose of preparing boats for use.

Drive-in religious services are now allowed, if people stay in their cars, park two metres apart and there are no interactions between people.

Prince Edward Island

Prince Edward Island has extended its public health emergency until June 14.

Premier Dennis King says people wanting to travel to seasonal residences must apply beginning June 1, and those will be put through a risk assessment before approval. Seasonal residents will also be tested for COVID-19 before completing the two weeks they must spend in self-isolation after arriving in the province.

The province moved into the third phase of its reopening plan June 1, which allows such things as in-house dining at restaurants, small groups to participate in recreational and some sporting activities and libraries to reopen. Phase three also allows gatherings of up to 15 people indoors and 20 people outdoors and the reopening of child-care centres.

As well, family and friends can visit residents at long-term care homes. The visits require an appointment and must take place outdoors.

Under phase 2, non-contact outdoor recreational activities were permitted, and retail businesses could reopen with physical distancing measures in place.

Priority non-urgent surgeries and select health-service providers, including physiotherapists, optometrists and chiropractors, resumed on May 1.

The P.E.I legislature resumed May 26.

New Brunswick

New Brunswick moved to the “yellow phase” of its COVID-19 recovery plan on May 22, allowing barbers and hair stylists to reopen as well as churches and fitness facilities. Dental care, massage, chiropractors and other “close contact” businesses and services could also reopen.

But the Campbellton region, which extends from Whites Brook to the Belledune, had to take a step backwards to the “orange” level on May 27. Residents were told to once again avoid contacts outside their two-household bubble. Non-regulated health professionals and personal service businesses that opened May 22 also had to close again. And people should only be travelling in and out of Zone 5 for essential reasons.

Restrictions in the yellow phase of the province’s recovery plan will be lifted beginning June 5. The activities include outdoor gatherings of up to 50 people, indoor religious services of up to 50 people, low-contact team sports and the opening of a long list of facilities including swimming pools, gyms, rinks, water parks, and yoga and dance studios.

Licensed daycares started reopening May 19. Children don’t have to wear masks or maintain physical distancing but are being kept in small groups.

Anyone who has travelled outside of New Brunswick will not be allowed to visit early learning and child-care facilities for 14 days.

Retail businesses, offices, restaurants, libraries, museums and seasonal campgrounds were earlier allowed to reopen providing they have clear plans for meeting public health guidelines. The resumption of elective surgeries was also part phase two of the province’s reopening plan.

Phase one, which started on April 24, allowed limited play on golf courses as well as fishing and hunting. Post-secondary students could return if it was deemed safe by the school, and outdoor church services were again permitted, providing people remain in their vehicles and are two metres apart.

The final phase, which will probably come only after a vaccine is available, will include large gatherings.

Quebec

Quebec began allowing outdoor gatherings with a maximum of 10 people from three families with social distancing in place on May 22.

On May 25 some retail businesses reopened in the greater Montreal area. Quebec reopened retail stores outside Montreal on May 11.

Parks and pools can reopen across the province but are still be subject to physical distancing and other health measures

Day camps across the province will be allowed to open as of June 22, with physical distancing and other COVID-19 health measures in effect. That means smaller groups of children and frequent handwashing. Sleep-away summer camps won’t be allowed to reopen until next year.

Lottery terminals are also reopening after being shut down on March 20 with sales moving to online only.

Quebec’s construction and manufacturing industries have resumed operations with limits on the number of employees who can work per shift. Elementary schools and daycares outside Montreal reopened on May 11, but high schools, junior colleges and universities will stay closed until September.

Elementary schools in the greater Montreal area will remain closed until late August.

Courthouses across the province were permitted to reopen starting June 1, with limited seating capacity and Plexiglas barriers protecting clerks and judges.

Camping is now allowed outside the Montreal and Joliette regions, as are cottage rentals.

Shopping malls, nail salons and other personal care centres are also reopening, but only outside Montreal.

Hairdressers, nail salons and other personal care businesses will be able to open in the Montreal area on June 15.

Meanwhile, checkpoints set up to slow the spread of COVID-19 came down on May 18 in various parts of Quebec, including between Gatineau and Ottawa.

Ontario

Ontario began its first stage of reopening May 19 including lifting restrictions on retail stores and surgeries.

The province says workplaces can begin to reopen but working from home should continue as much as possible.

The Royal College of Dental Surgeons of Ontario says the profession is currently in Stage 2 of its three-phase reopening plan. Dentists had previously only been allowed to practice emergency or urgent care on patients in-person but can now offer other essential services with enhanced precautions.

All construction can resume, with limits also lifted on maintenance, repair and property management services, such as cleaning, painting and pool maintenance.

Most retail stores with a street entrance can reopen with physical distancing restrictions, and curbside pickup and delivery.

Golf courses can reopen though clubhouses can only open for washrooms and take-out food. Marinas, boat clubs and public boat launches can also open, as can private parks and campgrounds for trailers and RVs whose owners have a full season contract, and businesses that board animals.

Other businesses and services included in the stage one reopening include regular veterinary appointments, pet grooming, pet sitting and pet training; libraries for pickup or deliveries; and housekeepers and babysitters.

Drive-in movie theatres and batting cages reopened May 31 with physical distancing measures in effect.

Backcountry campers returned to provincial parks June 1 with certain stipulations. No more than five people can occupy a single campsite, unless they live in the same household. Provincial parks will also expand permission for picnics and off-leash pet areas.

Premier Doug Ford earlier announced that Ontario schools would remain closed for the rest of the school year.

Meanwhile, this summer’s Honda Indy Toronto has been cancelled.

Manitoba

The Manitoba government has lifted its one-month limit on people’s prescription drug supplies, allowing people to again get prescriptions filled or refilled for 90 days.

Its health offices, including dentists, chiropractors and physiotherapists can also reopen. Retail businesses can reopen at half occupancy providing they ensure physical spacing.

Museums and libraries can reopen, but with occupancy limited to 50 per cent.

Playgrounds, golf courses and tennis courts have reopened as well, along with parks and campgrounds.

On May 22 the province began allowing groups of up to 25 people indoors and 50 people outdoors.

On June 1, the province eased a ban on people visiting loved ones in personal care homes.

Homes can now offer outdoor visits with a maximum of two guests per resident. Visitors will be screened upon arrival and must practice physical distancing.

Community centres and seniors’ clubs are also getting the go-ahead with limits on customer capacity and rules for physical distancing.

Bars, tattoo parlours, dine-in restaurants, fitness clubs and pools could reopen June 1 under limited capacity.

Elementary and high schools stopped in-class instruction in March and will not reopen this school year. But they were allowed, as of June 1, to offer tutoring or student assessments in small groups. Some extracurricular sports and other activities can restart.

At universities and colleges, some specific instruction such as labs and arts studios will be able to resume for up to 25 students and staff at a time.

Amateur sports and recreation programs, as well as bowling alleys, are on the list to resume operations.

A ban on non-essential travel to the province’s north was also eased starting June 1. Southern residents can now travel directly to cottages, campgrounds and parks, but are being told to avoid visiting northern communities.

Film productions can also resume, as well outdoor religious services with no crowd limits providing people stay in their vehicles.

Movie theatres and casinos must remain closed. Concerts, professional sporting events and other large public gatherings won’t be considered until at least September.

Manitoba has extended a province-wide state of emergency until mid-June, to help prevent the spread of COVID-19.

Saskatchewan

The Saskatchewan government’s five-phase plan to reopen its economy started May 11 with dentists, optometrists and other health professionals allowed to resume services. Phase 1 also includes reopened golf courses and campgrounds.

Under phases 2 and 3 the province says restaurants, gyms and nail salons can start reopening on June 8. Restaurants will be allowed to operate at half capacity and restrictions will also lift on some personal care services, childcare centres and places of worship. The government also plans to increase its 10-person gathering limit to 15 people indoors and to 30 for those outdoors.

Phase 4 could see arenas, swimming pools and playgrounds opening, while in Phase 5, the province would consider lifting restrictions on the size of public gatherings.

Alberta

Alberta has completed the first phase of its economic relaunch. Retail shops, restaurants, day cares, barber shops, hair salons, farmers markets and places of worship have reopened with some conditions.

Outdoor gatherings are currently limited to 50 people, and indoor gatherings to 15.

The next phase is scheduled to begin June 19 with the reopening of stage and movie theatres, spas and services like manicures, pedicures and massages.

Alberta allowed some scheduled, non-urgent surgeries to start on May 11.

Service provided by dentists, physiotherapists and other medical professionals are also permitted. Golf courses reopened May 2, though pro shops and clubhouses remain shuttered.

British Columbia

The provincial government allowed a partial reopening of the B.C. economy starting May 19.

The reopening plans are contingent on organizations and businesses having plans that follow provincial guidelines to control the spread of COVID-19. Hotels, resorts and parks will follow in June.

Parents in B.C. were given the choice of allowing their children to return to class on a part-time basis starting June 1. The government says its goal is for the return of full-time classes in September, if it’s safe.

Under the part-time plan, for kindergarten to Grade 5, most students will go to school half time, while grades 6 to 12 will go about one day a week. A mix of online and classroom post-secondary education is planned for September.

Conventions, large concerts, international tourism and professional sports with a live audience will not be allowed to resume until either a vaccine is widely available, community immunity has been reached, or effective treatment can be provided for the disease.

Northwest Territories

The Northwest Territories announced on May 12 a three-phase reopening plan, but the government didn’t say when it would be implemented.

The plan includes more gatherings and the possible reopening of some schools and businesses. However, the territory’s borders remain closed indefinitely to non-residents and non-essential workers.

There are several requirements that must be met before any measures are relaxed: there must be no evidence of community spread; travel entry points in the territory are strong and secure; risks are reduced from workers coming into the territory; and expanded community testing is available.

Yukon

Travel restrictions will be lifted between Yukon and B.C. after July 1 under the second phase of the territory’s pandemic restart plan.

After that date, travellers between the province and territory will no longer be required to self-isolate for 14 days.

The territory says monitoring the status of neighbouring jurisdictions will determine if it’s safe to further lift restrictions.

Yukon has been gradually easing pandemic restrictions since May 15 with dine-in restaurants, day cares and recreational centres reopening.

Territorial parks and campgrounds will open for the summer next week.

Two households of up to 10 people in total are currently able to interact with each other as part of a “household bubble.”

The territory’s reopening plan outlines five phases including a period after a vaccine is available.

This report by The Canadian Press was first published June 3, 2020

The Canadian Press

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